G7 PERFORMANCE ON HEALTH, 1975–2024
100
100
75
75
50
50
25
25
0
0
Compliance (%)
Conclusions (% words)
Commitments (%)
Compliance (%)
Conclusions (% words)
Commitments (%)
summits averaged only seven commitments and 46% compliance. Thus a higher number of commitments made at a summit suggests better compliance. High compliance came on commitments on improving prevention, detection, response and recovery systems for pandemics and infectious diseases. High compliance also resulted from the shocks of Ebola in 2014 and Covid-19 in 2020. Moreover, commitments made at summits with a pre-summit health ministerial meeting averaged higher compliance of 83% compared with 76% for summits without one. Higher compliance among summits with more commitments on One Health may be an effect of placing the World Health Organization in a coordinating role. Indeed, across 101 health commitments made from 1983 to 2023, commitments with the highest compliance included references to an international organisation such the World Health Organization or the World Trade Organization, with an average of 76% even with shock-activated anomalies, such as 34% in 2008 for neglected tropical diseases, 69% in 2016 following the Ebola outbreak and 31% in 2018 for a commitment to the International Health Regulations and funding. Without these anomalies, compliance was 93% for commitments referencing international organisations.
A focus on antimicrobial resistance or mobilising funds also produced high compliance. Since 2021, the proportion of commitments related to financing global health has also steadily increased. Commitments related to financing averaged 80% compliance excluding the 22% and 31% anomalies of 2010 and 2018 respectively, and 72% including them. CONCLUSION Based on these findings, G7 leaders at Kananaskis should: • Commit to strongly support the WHO and its IHR, focusing on sharing information. • Make more commitments on health, especially regarding AMR, alternative care, One Health, the labour market, knowledge transfer, open international collaboration on research and development, improved access to the benefits and interoperability of global health security plans, and the safe use of artificial intelligence. • Commit to the Impact Investing Initiative and other structured health financing plans. • Recommend a pre-summit health ministerial meeting be held each year. • Increase support for the G20’s joint meetings of finance and health ministers, and of agriculture and health ministers. • Commit to improve health and environmental surveillance for AMR, climate change and biodiversity loss, food insecurity, safety and nutrition.
89 globalgovernanceproject.org
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